Charlotte Community Health Clinic, Inc.
NPI #1053065201 in Charlotte, North Carolina
Provider Information
- NPI Number
- 1053065201
- Entity Type
- Organization
- Organization Name
- Charlotte Community Health Clinic, Inc.
- Primary Specialty
- Clinic/Center - Federally Qualified Health Center (FQHC)
- Enumeration Date
- Feb 7, 2022
- Last Updated
- Aug 15, 2022
Practice Location
- Address
- 3622 CENTRAL AVE
- City
- Charlotte
- State
- North Carolina
- ZIP Code
- 28205-5638
- Phone
- (704) 316-6561
Authorized Official
- Name
- STEFANI PRISCILIA RUARTE
- Title
- CREDENTIALING COORDINATOR
- Phone
- (704) 316-6573
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Federally Qualified Health Center (FQHC) — Federally Qualified Health Center (FQHC) |
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